Ms Glenda Kelley, CCC/SLP is a
Speech-language Pathologist based in Diboll, Texas. Ms Glenda Kelley is licensed to practice in Texas (license number 14979) and her current practice location is
215 N Temple Dr, Diboll, Texas. She can be reached at her office (for appointments etc.) via phone at
(936) 829-3100.
NPI number for Ms Glenda Kelley is 1679878896 and her current mailing address is 215 N Temple Dr, Diboll, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679878896.
Healthcare Provider's Profile
| Full Name | Ms Glenda Kelley |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 215 N Temple Dr, Diboll, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679878896
- Provider Enumeration Date: 01/19/2011
- Last Update Date: 02/22/2022
Medical Identifiers
Medical identifiers for Ms Glenda Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679878896 | NPI | - | NPPES |
| 1679878896 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 14979 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Glenda Kelley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Glenda Kelley, CCC/SLP
215 N Temple Dr,
Diboll, TX 75941-1701
Ph: (936) 526-4857 | Ms Glenda Kelley, CCC/SLP
215 N Temple Dr,
Diboll, TX 75941-1701
Ph: (936) 829-3100 |
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